Feasibility to apply eucapnic voluntary hyperventilation in young elite athletes

Eycken, Sarah Van der; Schelpe, An‐Sofie; Marijsse, Gudrun; Dilissen, Ellen; Troosters, Thierry; Vanbelle, Vincent; Aertgeerts, Sven; Dupont, Lieven; Peers, Koen; Bullens, Dominique; Seys, Sven

doi:10.1016/j.rmed.2015.12.012

Cited by 17 publications

(16 citation statements)

References 12 publications

(7 reference statements)

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“…It is however well recognized that a significant number of young asymptomatic athletes with no previous history or diagnosis of asthma/EIB have AHR [3,7,9]. As with untrained children, this preclinical form of AHR could be a precursor of asthma requiring treatment; hence the need for early detection.…”

Section: Reasons For the Problemmentioning

confidence: 99%

“…In sports like swimming, 25-50% of young competitive athletes could suffer from asthma/AHR [3,[7][8][9]. In soccer and basketball, the prevalence in 12-to14-year-old players has recently been estimated at~20% [3].…”

Section: Acknowledging the Burden Of Sufferingmentioning

confidence: 99%

“…The highly standardized and sensitive eucapnic voluntary hyperpnea (EVH) test has been recommended for over 15 years for EIB detection in elite (adult) athletes [21]. However, when conducted in young athletes, the target ventilation of 85% of maximum voluntary ventilation may need adjustment [3]. Further, as for exercise testing, two EVH tests may be required [22].…”

Section: Choosing the Appropriate Screening Test(s)mentioning

confidence: 99%

“…exercise-induced laryngeal obstruction or dysfunctional breathing), asthma/airway hyperresponsiveness (AHR) is the most common chronic medical condition in elite athletes; the prevalence in Olympians being 8% [2]. While the majority of data have been obtained in athletes aged 18 or over, it has been recognized that up to 50% of young elite athletes could suffer from asthma/AHR [3].…”

mentioning

confidence: 99%

“…As such, serial measurements of forced expiratory volume in 1 s (FEV 1 ) -an index of airway caliber -are recommended for objective assessment of EIB [6]. The use of respiratory symptoms alone is strongly discouraged for diagnostic purpose, in that symptoms are neither sufficient, nor essential to confirm the presence of asthma/EIB in young athletes [3,[7][8][9]. Further, resting spirometry measurements are poor predictors of variable airflow obstruction in athletes [10].…”

mentioning

confidence: 99%

See 4 more Smart Citations

Is there a need to improve asthma diagnosis in young athletes?

Kippelen

2016

Expert Review of Respiratory Medicine

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Section: Reasons For the Problemmentioning

confidence: 99%

Section: Acknowledging the Burden Of Sufferingmentioning

confidence: 99%

Section: Choosing the Appropriate Screening Test(s)mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Is there a need to improve asthma diagnosis in young athletes?

Kippelen

2016

Expert Review of Respiratory Medicine

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Early-onset airway damage in early-career elite athletes: A risk factor for exercise-induced bronchoconstriction

Jonckheere

Seys

Dilissen

et al. 2019

Journal of Allergy and Clinical Immunology

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Bronchial Provocation Testing for the Identification of Exercise-Induced Bronchoconstriction

Brannan

Kippelen

2020

The Journal of Allergy and Clinical Immunology: In Practice

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Exercise-induced bronchoconstriction (EIB) is a common occurrence in asthmatics, children and otherwise healthy athletes. Poor diagnostic accuracy of respiratory symptoms during exercise requires objective assessment of EIB. The standardised tests currently available for EIB diagnosis are based on the assumption that the provoking stimulus to EIB is dehydration of the airway surface fluid due to conditioning large volumes of inhaled air during exercise. 'Indirect' bronchial provocation tests that use stimuli to cause endogenous release of bronchoconstricting mediators from airway inflammatory cells include dry air hyperpnoea (e.g., exercise, eucapnic voluntary hyperpnoea) and osmotic aerosols (e.g., inhaled mannitol). The airway response to different indirect tests are generally similar in patients with asthma and healthy athletes with EIB. Further the airway sensitivity to these tests is modified by the same pharmacotherapy used to treat asthma. By contrast pharmacological agents, such as methacholine given by inhalation, act directly on smooth muscle to cause contraction. These 'direct' tests have been used traditionally to identify airway hyperresponsiveness in clinical asthma but are less useful to diagnose EIB. The mechanistic differences between 'indirect' and 'direct' tests have helped to elucidate the events leading to airway narrowing in asthmatics and elite athletes, while improving clinical utility of these tests to diagnose and manage EIB.

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Feasibility to apply eucapnic voluntary hyperventilation in young elite athletes

Abstract: EIB is present in a substantial number of individuals at the age of 12-14 years, especially in swimmers. This underscores the importance of screening for EIB at this age. EVH is feasible in young elite athletes, however target ventilation needs to be adjusted accordingly.

Cited by 17 publications

References 12 publications

Is there a need to improve asthma diagnosis in young athletes?

Is there a need to improve asthma diagnosis in young athletes?

Early-onset airway damage in early-career elite athletes: A risk factor for exercise-induced bronchoconstriction

Bronchial Provocation Testing for the Identification of Exercise-Induced Bronchoconstriction

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